Provider Demographics
NPI:1548218696
Name:SMITH, JAMES FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 FNB PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-7200
Mailing Address - Country:US
Mailing Address - Phone:402-758-5233
Mailing Address - Fax:888-972-1672
Practice Address - Street 1:14301 FNB PKWY STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-7200
Practice Address - Country:US
Practice Address - Phone:402-758-5233
Practice Address - Fax:888-972-1672
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD55852085R0204X
MO20110277682085R0204X
NE213822085R0204X, 2085R0202X
IAMD-334222085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04192OtherBC/BS OF NEBRASKA
NE16355OtherMIDLANDS CHOICE
NE1602543OtherSHARE ADVANTAGE
IA0585794Medicaid
NE605082700OtherUS DEPARTMENT OF LABOR
NE10025186700Medicaid
IAI15024Medicare PIN
NE04192OtherBC/BS OF NEBRASKA
F98148Medicare UPIN
IA0585794Medicaid
NE278124Medicare PIN